Okamoto Kazushi, Harasawa Yuko, Shiraishi Tomoko, Sakuma Kiyomi, Momose Yumiko
Department of Epidemiology, Aichi Prefectural College of Nursing and Health, Togoku, Kamishidami, Moriyama-ku, Nagoya 463-8502, Japan.
Arch Gerontol Geriatr. 2007 Nov-Dec;45(3):319-26. doi: 10.1016/j.archger.2007.01.062. Epub 2007 Mar 26.
The purpose of this study is to examine cross-sectionally the factors associated with appetite among the elderly persons living in the community in Japan. The subjects of this study were 754 non-institutionalized elderly men and women aged 65 years and older living in community in Japan. The data were collected by face-to-face interviews. The factors related to subjective health was examined using multiple logistic regression analyses. Four hundred and forty-nine (56.4%) participants evaluated appetite as very good; 239 (30.0%) as somewhat good; 92 (11.6%) as little/not at all. Subjects with good appetite were more physically active, had less depressive symptoms, subjective stress, much more communication with family and much more social support, as compared to those without appetite. Appetite was significantly associated with better subjective good health after controlling for other variables in the model. Only communication with family was significantly associated with good appetite after controlling for other variables (odds ratio, OR=2.43; 95% confidence interval, CI=1.30-4.74). The indirect effect of communication with family on appetite was much greater than the direct effect. These findings suggest that communication with family may be beneficial promoter of the appetite in the elderly.
本研究的目的是对居住在日本社区的老年人食欲相关因素进行横断面调查。本研究的对象是754名居住在日本社区、年龄在65岁及以上的非机构养老的老年男性和女性。数据通过面对面访谈收集。使用多元逻辑回归分析来研究与主观健康相关的因素。449名(56.4%)参与者将食欲评为非常好;239名(30.0%)评为尚可;92名(11.6%)评为差/完全没有食欲。与食欲不佳的受试者相比,食欲良好的受试者身体活动更多,抑郁症状、主观压力更少,与家人的交流更多,社会支持也更多。在对模型中的其他变量进行控制后,食欲与更好的主观健康状况显著相关。在控制其他变量后,只有与家人的交流与良好食欲显著相关(优势比,OR = 2.43;95%置信区间,CI = 1.30 - 4.74)。与家人交流对食欲的间接影响远大于直接影响。这些发现表明,与家人的交流可能是促进老年人食欲的有益因素。